运气理论制方与运用初探

Theory and Application of Prescription in Yunqi

五运六气理论指导下的运气方,历代医家多有发挥,南宋·陈无择创制五运时气民病证治10方、六气时行民病证治6方,对后世影响极大。五运六气理论的组方原则有君臣佐使、适大小为制、奇偶之制、性味法则等。君臣佐使本是运气方的组方指导原则,历代医家用于指导方剂组方并赋予普遍的指导意义;性味法则是根据药食之五味及属性依据天地运气的异常变化确定组方原则,体现天地相通的道理。运气方应用原则有调气以平、求其属、缓急原则、奇偶原则、重方原则、内外原则等,运气方应用要灵活,不可拘泥。故以正阳汤为例解读"三因司天方"的临床应用。

Yunqi prescription under the guidance of the theory of yunqi is used by doctors of all dynasties ,CHEN Wuze in the Southern Song Dynasty created ten prescriptions according to wuyun and six prescriptions according to liuqi for epidemic infectious disease which had great influence on the later generations. The principle of fire elements and sixclimatic factor, prescription includes the assistant and guide, more or less, odd or even, nature and flavor etc. The assistant and guide is used to be the principle of prescription and endued with guidance meanings by doctors of all dynasties. The rule of nature and flavor embodies the principle of the communication of heaven and earth. The application principle of yunqi prescription includes regulation of Qi, priorities or otherwise, odd or even, repetition of prescription, inside or outside etc. and we need use the yunqi prescription flexibly. Zhengyang decoction is an example to interpret the clinical application of sanyinsitian prescription.